- AssistRx (Maitland, FL)
- …transforming the patient support experience. Position Summary The Copay Accounting Specialist is responsible for managing the accounting, cash flow, and financial ... of escrow and bank balances, promptly resolving discrepancies. + Reconcile claims , enrollments, and transaction details across financial and operational systems. +… more
- Centene Corporation (Tallahassee, FL)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... fresh perspective on workplace flexibility. **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert and handles more… more
- BayCare Health System (Clearwater, FL)
- …+ Conduct thorough investigations by gathering relevant information, documentation, and medical records. + Triage, plan, and execute intake of Appeals and ... + Knowledge of health plan operations, benefit coverage, and claims processing. Familiarity with regulatory requirements governing grievance and appeal… more
- Elevance Health (Tampa, FL)
- **Financial Operations Recovery Process Specialist ** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required ... Capabilities, and Experiences:** + Previous experience in high-volume operations ( claims , customer service, enrollment and billing) strongly preferred. Please be… more
- Command Investigations (Lake Mary, FL)
- …business located in Lake Mary has an immediate need for a full-time Data Entry Specialist . In this role, you will be responsible for case referral intake from our ... written and verbal communication skills + Basic understanding of claims vocabulary + Investigative mindset (questioning the out of...High School diploma Benefits Include: + Full-time employment + Medical , dental and vision insurance + 401K + PTO… more
- Travelers Insurance Company (Orlando, FL)
- …bills, mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to ... professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and diaries,… more
- Molina Healthcare (Jacksonville, FL)
- …and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, ... Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration. + 3+ years' experience in Medical … more
- Insight Global (Coleman, FL)
- …representation, program coordination, medical coding or billing, appointment scheduling, medical claims processing, or administrative support within a ... Job Description * Coordinate and schedule off-site medical referrals * Enter referral data into patient...with client contracts and HIPAA * Manage and document medical records for off-site referrals * Facilitate weekly Utilization… more
- Mass Markets (FL)
- …sometimes even cars! + Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of employment, and all ... employees have access to MEC medical plans after just 30 days. Benefit options vary by location. + Retirement Savings: Secure your future with retirement savings… more
- ICW Group (Orlando, FL)
- …and workflows for Audit & Compliance program. + Works closely with training specialist and claims management staff to correct deficiencies and address technical ... purpose of this job is to supervise functions of claims internal controls and to monitor team activities with...* We offer a competitive benefits package, with generous medical , dental, and vision plans as well as 401K… more